Gordon, Barbara
Gordon, Barbara is an individual health care provider with primary practice located at 2040C Tamiami Trl , Port Charlotte FL 33948-2178. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gordon, Barbara can be contacted via phone (941) 629-4464.Contact Information
Primary practice address
2040C Tamiami Trl
Port Charlotte FL 33948-2178
Phone: (941) 629-4464
Fax: (941) 629-4701
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ARNP3273802 | Florida |
Profile Details
| NPI number | 1043465339 |
|---|---|
| LBN Legal business name | Gordon, Barbara |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2008 |
| Last updated | Dec 1st, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043465339 | NPPES |
| Florida | MEDICAID | 306152300 |
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